KIMBERLY PATTON (OD) – Optometrist, NPI 1689165565

KIMBERLY PATTON (OD) is a healthcare provider. based in Newark, Ohio. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT.006671 (OH). The NPI Number for KIMBERLY PATTON (OD) is 1689165565

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY PATTON (OD)
NPI
1689165565
Phone
(740) 504-7427
Address
101 DRY CREEK RD
Enumeration Date
25 May 2018
Last Update Date
2 August 2021

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
6148989989
Graduation Year
2018 (8 years ago)
PAC ID
6608128558
Group Practice PAC ID
7911961370
Professional Enrollment ID
I20181004001510
Address ID
OH430812232WE185XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,618 OPTOMETRY in OH

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Provider Addresses for KIMBERLY PATTON (OD)

  • 101 DRY CREEK RD

    NEWARK, OH 430553405

    Phone: (740) 504-7427

    Type: Mailing

  • College of Optometry Services, 338, West Tenth Avenue, University District District 4, Columbus, Franklin, Ohio, 43210, United States

    COLUMBUS, OH 432101280

    Phone: (614) 292-2020

    Type: Location

  • 1664 NEIL AVE

    COLUMBUS, OH 432012333

    Phone: (614) 292-2020

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $1,987.

Total Amount is formed as General ($1,987) + Research ($0) + Ownership ($0) = $1,987.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Alcon Vision LLC ($785).

Total Amount

$1,987

General + Research + Ownership

Payments

39

Total payment records

General Amount

$1,987

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181004001510IOptometryOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system1919$0
92250Photography of the retina1717$0
View full utilization report →

Insurance plans in this area (ZIP 43055)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911961370View full group profile
NameSpecialtyState
O P T O M E T R YOH
-OH
-OH
O P T O M E T R YOH
O P T O M E T R YOH
-OH
O P T O M E T R YOH
O P T O M E T R YOH
O P T O M E T R YOH
O P T O M E T R YOH

Reviews

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Frequently asked questions

Does KIMBERLY PATTON (OD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KIMBERLY PATTON (OD) uses 1689165565.
Is KIMBERLY PATTON (OD) listed as active for patients and plans?
The listing shows KIMBERLY PATTON (OD) as active in the NPI system.
What healthcare role does KIMBERLY PATTON (OD) hold?
Scheduling teams often label KIMBERLY PATTON (OD) under Optometrist. Clinical services aligned with this taxonomy classification.
What area does KIMBERLY PATTON (OD) serve?
KIMBERLY PATTON (OD)'s listing highlights Newark, Ohio; more addresses can appear in NPPES.
Why does KIMBERLY PATTON (OD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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